Apply For Employment | Ryan's Municipal Services

Date:*

Email Address:*

First Name:*

Middle Name:*

Last Name:*

Street Address:*

City:*

State:*

Zip Code:*

Primary Phone Number:*

Secondary Phone Number:

Type of work for which you wish to be considered:*

What source led you to our application?:*

Employment History

Employer:*

Supervisor:

Employer Address:*

City:*

State:*

Zip Code:*

Start Date:*

End Date:*

Type of Work Preformed:*

Present or Last Salary:

Reason for Leaving:*

Employer:

Supervisor:

Employer Address:

City:

State:

Zip Code:

Start Date:

End Date:

Type of Work Preformed:

Present or Last Salary:

Reason for Leaving:

Employer:

Supervisor:

Employer Address:

City:

State:

Zip Code:

Start Date:

End Date:

Type of Work Preformed:

Present or Last Salary:

Reason for Leaving:

Education

High School:*

Major Courses:

Years Completed:*

Diploma Received?:

College:

Major or Field of Study:

Years Completed:

Degree Received?:

Business or Trade School:

Major or Field of Study:

Months Attended:

Degree Received?:

If you served in the United States Armed Forces, briefly describe the skills you acquired:

Personal Information

Are you legally authorized to work in the U.S.?:*

Emergency Contact (Name, Address, and Telephone number of someone other than a household member:*

Are you at least 18 years of age?:*

Have you ever been convicted of a crime (felony)? :*

If you are an experienced operator of any office machines or equipment, please list (Typing Speed, Shorthand,etc):

Do you have any other skills you wish to mention?:

Are you presently employed:*

If hired, when would you be available?:*

Salary Requirements:*

References

Name of Reference:*

Occupation:*

City:*

State:*

Telephone Number:*

Name of Reference:

Occupation:

City:

State:

Telephone Number:

Name of Reference:

Occupation:

City:

State:

Telephone Number:

I certify at the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind. I agree that the company shall not be held liable in any respect if my employment s terminated because of false statements, answers or omissions made by me in this application. I understand that any misleading or incorrect statements may render this application void, and if employed, may lead to employment termination. I understand that a medical examination based on the requirements of the position for which I am being considered may be required, and drug testing may be included as part of the regular pre-employment physical. I also authorized the companies, school or persons named above to give any information requested regarding my employment, character and qualification. I hereby release said companies, schools or persons from all liability for any damage for issuing this information. In consideration of my employment, I agree to conform to the rules and regulations of this organization. My employment and compensation can be terminated with our without cause and with or without notice, at any time, at the option of either my employer or myself. (Disclaimer – This is not legal advice, employer should review prior to use.)

Do you agree with the above statement?:*